Operation Theatre & Anesthesia Technology

 While spine surgery is one of the major critical surgery according to surgical aspect .  Patient position  Patient will be position at porne ( face down ) provided diathermy plate .  C arm would be position like  the x-ray tube under the patient/table and not over it.  Under couch systems provide better protection from scattered dose  .  Trolly for surgery  Drapping part  Swab holding forcep  Gauze  and small bowl .  Firstly use spirit and then after bitadine to properly disinfect the surgical fracture area .  Afterthat we use rubber sheet and laterly green sheet to properly  cover the area  .  And use disposable ioban to cover that portion  Fix it properly with towel clip and fixing a diathermy cable and and suction pipe for further loss blood suction.   Surgical part  We need kidney tray to provide B.P handle(4) and proper size blade (24 )  Austriotam and retractor ( lagenback small blade ) or self retaning retractor according to doctors need.  And a mop to Swab blood and and artery

 AT FIRST WE NEED A SCRUB TROLLY , AND THEN WE COVER THE UPPER PART WITH STERILE RUBBER SHEET , THEN AGAIN WE WOULD LIKE TO COVER IT WITH STERILE SHEET PROPERLY ,  AFTER FIXING IT PROPERLY , BELOW MENTION INSTRUMENT  PROVIDED  INSTRUMENT DRAPPING PART  BOWL + SWAB HOLDING FORCEP  + GAUZE  FOR PROPER DISINFECTENT THE AREA  THEN STERILE RUBBER SHEET AND THEN STERILE NORMAL COTTON SHEET  FOR PROPER COVERING THE OTHER BODY PART RATHER THAN THE DRAPPING SITE ONE  SURGICAL PART  AT FIRST WE NEED USUALLY 4 NO BARD PARKER HANDLE AND 24 NO BLADE FOR INCISION AND THEN WE NEED A ARTERY FORCEP , A RETRACTOR AND ALSO A DIATHERMY TO COAGULATE THE ARTERY AND VEIN ONE OF THE PARTICULAR OPERATION SITE  AND THEN WE WOULD LIKE TO USE HOMANS FORCEP AND BONE LIVER TO EXPOSE THE BONE AND THEN WE TAKE THE C- ARM SHOT TO SEE THE POSITION OF THE FRACTURE SITE AND THE DISPLACED BONE WE WOULD LIKE TO USE A STAINMANN PIN TO RELOCATE THE FRACTURE SITE BONE .  AND FIX THE GUIDE WIRE TO LOCATE THE FRACTURE DIRECTION

  Anatomy and Physiology The arterial pulse may be palpated in the extremities and the neck. With the knowledge of the contour of these vessels, the operator may easily identify the location of the artery. The anatomy of every site of insertion must be analyzed to determine the landmarks, the depth, the relationship to adjacent anatomical structures, and the size of the artery.   The radial artery is superficial in the thenar area of the wrist where the radial bone joins the metacarpal bones. There, the radial pulse is best felt slightly medial to the extensor tendons of the thumb. The radial artery is a preferred site of insertion. The ulnar artery is opposite to the radial pulse in the volar aspect of the wrist at the joint of the ulnar bone to the metacarpal bones. The artery divides into 2 branches, both of which join a similar division of the radial artery to form a rich, collateral network known as the deep and superficial palmar arch. The ulnar artery is smaller and not

 Trolly layout for Brest Cancer is one of  difficult to maintain.  Bowl with providine iodin solution  swab holder  gauze pics ( uncounted ) machintose sheet  sterile draf towl Towal Clip 4 pics  sterile needle and syringe with lignocain (2%) without adrenalin  harmonic scalpel   Bard - Parkar Handel no . 4 and blade no 22  allise 6 pics  artery 6 pics  lagen back retractor 2 pics  sucction nogel( steel ) and sucction catheter  suture meterial absorable and non absorable too  skin staplar dressing gauze  providine iodin solution 7.5%  bandage 

  Levels of care The concept of designations for hospital facilities that care for newborn infants according to the level of complexity of care provided was first proposed in the United States in 1976. Levels in the United States are designated by the guidelines published by the American Academy of Pediatrics In Britain, the guidelines are issued by The British Association of Perinatal Medicine (BAPM), and in Canada, they are maintained by The Canadian Paediatric Society. Neonatal care is split into categories or “levels of care”. these levels apply to the type of care needed and is determined by the governing body of the area . India India has 3-tier system based on weight and gestational age of neonate. Level I care Neonates weighing more than 1800 grams or having gestational maturity of 34 weeks or more are categorized under level I care. The care consists of basic care at birth, provision of warmth, maintaining asepsis and promotion of breastfeeding. This type of care can be given

  Pain management  parents with newborns in the NICU have expressed that they would like to learn more about what types of pain their infants are feeling and how they can help relieve that pain. Parents want to know more about things such as; what caused their child’s pain, if the pain that we feel is different than what they feel, how to possibly prevent and notice the pain, and how they could help their child through the pain they were struggling with. Another main worry that was mentioned was the long-term effects of their pain , Relieving pain There are multiple  ways to manage pain for infants. If the mother is able to help, holding the infant in kangaroo position or breastfeeding can help calm the baby before a procedure is done. Other simple things that can help ease pain include; allowing the infant to suck on a gloved finger, gently binding the limbs in a flexed position, and creating a quiet and comfortable environment .  Common diagnoses and pathologies in the NICU include:

 Neonatal Intensive Care Unit or NICU  is known as New Born Care Unit , is a Special Baby Care Unit , for premature new born infant .  Firstly it is introduced by Louis Gluck nearly about 1960s at the American hospital Yale New Haven Hospital . Increasing technology By the 1970s, NICUs were an established part of hospitals in the developed world. In Britain, some early units ran community programmes, sending experienced nurses to help care for premature babies at home. But increasingly technological monitoring and therapy meant special care for babies became hospital-based. By the 1980s, over 90% of births took place in hospital. The emergency dash from home to the NICU with baby in a transport incubator had become a thing of the past, though transport incubators were still needed. Specialist equipment and expertise were not available at every hospital, and strong arguments were made for large, centralised NICUs. On the downside was the long travelling time for frail babies and for par